A quality improvement collaborative evaluated Hepatitis B virus (HBV) care for resettled refugees and identified strategies to enhance care. 682 of the 12,934 refugees from five refugee health clinics in Colorado, Minnesota, and Pennsylvania had chronic HBV. Timely care was defined relative to a HBsAg鈥�+鈥塺esult: staging (HBV DNA, hepatitis Be antigen, hepatitis Be antibody, alanine transaminase testing) within 14聽days, comorbid infection screening (hepatitis C virus and HIV) within 14聽days, and linkage to care (HBV specialist referral within 30聽days and visit within 6聽months). Completed labs included: HBV DNA (93%), hepatitis Be antigen (94%), hepatitis Be antibody (92%), alanine transaminase (92%), hepatitis C screening (86%), HIV screening (97%). 20% had HBV specialist referrals within 30聽days; 36% were seen within 6聽months. Standardized reflex HBV testing and specialist referral should be prioritized at the initial screening due to the association with timely care.
